Vista Community Clinic
Location
Vista, California
Salary
$21 - $23 / HOUR
The Referral Coordinator is responsible for managing the entire referral lifecycle, including processing requests, obtaining prior authorizations, and requesting necessary reports from clinicians. This role involves collaborating with various parties to ensure successful tracking and completion of referrals while maintaining accurate documentation in the EHR.
A minimum of a high school diploma or equivalent is required, along with at least two years of experience in a medical, social service, or related setting. Familiarity with medical, social service, and health insurance terminology, along with strong data entry and communication skills, is necessary.
Responsible for the coordination, processing, obtaining prior authorizations, and requesting reports for a variety of referrals requested by VCC clinicians. Collaborate with others to ensure successful tracking and completion of referrals. Complete all associated paperwork Organize all necessary information from the patient medical record to accurately complete the referral authorization. Verify insurance information and check eligibility (through phone or insurance portals) as needed for referral purposes. Submit all appropriate information for referral including cover letters, pertinent progress notes, imaging or labs as related to the referral. Provide patients with referral information and instructions on how to contact specialist and schedule appointment. Act as liaison with referral providers and agencies Document referral information in the Electronic Health Record using NextGen and HealthViewX (HVX) Use referral tracking system to move the referral through the process of Not Started-Pending-Follow-up and Closed. Documenting progress in patient chart. Verify receipt of consult, diagnostic and other required reports. Be sure document is scanned into patient chart and forwarded to Clinician PAQ. Act as liaison with referral clinicians and agencies Availability to take phone calls and respond to voicemail and Email in a timely manner. Keep phone and Skype status up-to-date. Interact directly with patients, providing excellent care to all. Remain objective and non-judgmental. Regularly assist patients by answering questions and resolving issues that may arise during the referral process. Document all communication.
Minimum High school graduate or equivalent Minimum two years' experience in a medical, social service setting or related field Bilingual English/Spanish Preferred Medical assistant certification or equivalent training Familiarity with CPT an ICD codes Required Skills/Knowledge/Abilities Familiar with medical, social service and health insurance terminology Ability to type and enter data with a high degree of accuracy Excellent verbal and written skills necessary for communication with patients/clients, clinicians and other staff Preferred Skills/Knowledge/Abilities Experience/familiarity with Practice Management and Electronic Medical Records systems, NextGen preferred Familiarity with Medical terminology and procedures and CPT and ICD codes. Pay Range $21.00 - $23.00 Depending On Experience
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